A practical nurse is preparing to safely transfer a client with left-sided hemiparesis (weakness) from the bed to a wheelchair. To prevent injury to both the client and the nurse, arrange the following steps in the correct chronological order. (Place the first action at the top and the final action at the bottom).
- 1Position the wheelchair on the client's right side and ensure the wheels are locked.
- 2Assist the client to a sitting position on the edge of the bed and apply non-skid footwear.
- 3Secure a transfer gait belt snugly around the client's waist.
- 4Instruct the client to push up from the mattress and bear weight on their right leg.
- 5Pivot on the foot closest to the chair and gently assist the client into the seat.
Answer
The correct sequence requires prioritizing environmental safety first, preparing the client physiologically, applying safety equipment, prompting the client to stand using their strong side, and finally pivoting safely into the chair.
Safe transfer protocols dictate that the wheelchair must be placed on the client's unaffected (strong) side so the client can lead with their strength. Environmental safety, such as locking the wheels, must always precede physical movement. The client is then brought to a seated position to stabilize blood pressure and equipped with non-skid footwear and a gait belt. During the physical transfer, the client pushes up using their own strength to minimize the lifting strain on the nurse, followed by a controlled pivot to safely lower into the seat.
Step-by-Step Solution
Key Concept
Safe Client Transfer and Fall Prevention